| 付文哲,林仲秋,董凤英,等.广州军区退休老年人高血压肾病的危险因素探讨[J].中国临床保健杂志,2016,(1):30-33. |
| 广州军区退休老年人高血压肾病的危险因素探讨 |
| Risk factors of hypertensive nephropathy in the elderly of Guangzhou military region |
| 投稿时间：2015-10-29 |
| DOI：10.3969/J.issn.1672-6790.2016.01.010 |
| 中文关键词: 高血压肾病 慢性肾功能不全 老年人 危险因素 |
| 英文关键词: Hypertensive kidney disease Chronic kidney disease Aged Risk factors 〖FL |
| 基金项目:广州市科技计划重大项目(2013Y2-00130),广州市医疗协同创新重大专项计划(201508020253) |
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| 中文摘要: |
| 目的 研究退休老年人高血压肾病的患病率及危险因素。方法 对2013年广州军区离退休干部体检资料进行检索,筛选出1695例≥65岁的老年人,将其中846名高血压患者依据高血压肾病的诊断标准分为高血压肾病组和单纯高血压组进行比较,并分析高血压肾病的危险因素。结果 老年高血压肾病患病率为11.0%；多因素Logistic回归分析显示年龄(OR=1.045,95%CI:1.027～1.074,P=0.017)、高尿酸血症(OR=2.433,95%CI:1.613～3.670,P＜0.01)、心力衰竭(OR=4.392 ,95%CI:2.661～7.249,P＜0.01)及体质量指数(BMI)异常(OR=2.079,95%CI:1.356～3.187,P＜0.01)是高血压肾病的危险因素。 结论 高血压肾病在广州军区退休老年人中患病率为11.0%；年龄、高尿酸血症、心力衰竭以及体质量指数异常是高血压肾病的危险因素。 |
| 英文摘要: |
| Objective To study the prevalence and risk factors of hypertensive nephropathy in the elderly retirees population.Methods A total of 1695 elderly retirees over 65 were selected from 2013 healthy physical examination data of Guangzhou military region.Eighty hundreds and forty-six hypertension were selected and divided into hypertensive nephropathy group and simple hypertension group.Results The prevalence of hypertensive nephropathy was 11.0%；Multiple logistic regression showed that age(OR=1.045,95%CI:1.027～1.074,P＜0.01),hyperuricemia (OR=2.433,95%CI:1.613～3.670,P＜0.01),heart failure(OR=4.392 ,95%CI:2.661～7.249,P＜0.01) and abnormal body mass index(BMI) (OR=2.079,95%CI:1.356～3.187,P＜0.01) were risk factors of hypertensive nephropathy.Conclusion Age,hyperuricemia,heart failure and abnormal BMI are risk factors of hypertensive nephropathy in the elderly. |
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